Jerome Vincent Ponder, MD | |
413 Owen Dr, Suite 101, Fayetteville, NC 28304-3489 | |
(910) 480-4880 | |
(910) 488-4856 |
Full Name | Jerome Vincent Ponder |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 27 Years |
Location | 413 Owen Dr, Fayetteville, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659332369 | NPI | - | NPPES |
89130V8 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 9900735 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Betsy Johnson Regional Hospital | Dunn, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Harnett Obgyn Llc | 5698964815 | 3 |
Entity Name | Scotland Memorial Hospital, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033103767 PECOS PAC ID: 0648208504 Enrollment ID: O20031105000382 |
Entity Name | Cumberland County Hospital System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
Entity Name | Jerome V Ponder Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598775025 PECOS PAC ID: 6608979133 Enrollment ID: O20070321000238 |
Entity Name | Harnett Obgyn Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043510696 PECOS PAC ID: 5698964815 Enrollment ID: O20110104000678 |
Entity Name | Hoke Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114277035 PECOS PAC ID: 1153569405 Enrollment ID: O20130529000286 |
Entity Name | Dlp Central Carolina Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184163883 PECOS PAC ID: 3577840420 Enrollment ID: O20170503000867 |
Mailing Address | Practice Location Address |
---|---|
Jerome Vincent Ponder, MD 413 Owen Dr, Suite 101, Fayetteville, NC 28304-3489 Ph: (910) 480-4880 | Jerome Vincent Ponder, MD 413 Owen Dr, Suite 101, Fayetteville, NC 28304-3489 Ph: (910) 480-4880 |
William Dana Haithcock, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2029 Valleygate Dr, Suite 101, Fayetteville, NC 28304 Phone: 910-323-2103 Fax: 910-323-2219 | |
Dr. Caron Dawn Gutovitz, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1341 Walter Reed Rd, Fayetteville, NC 28304 Phone: 910-615-3500 | |
Dr. Samantha Lynn Horvath Bridges, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr # 138, Fayetteville, NC 28304 Phone: 910-615-4430 Fax: 910-615-9872 | |
Delores Lorraine Johnson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2135 Valleygate Drive Suite 101, Fayetteville, NC 28304 Phone: 910-920-1858 Fax: 910-339-9040 | |
Lakshmi Vadlamudi Gordon, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2053 Valleygate Dr, Ste. 201, Fayetteville, NC 28304 Phone: 910-484-9020 Fax: 910-484-9012 | |
David Alan Schutzer, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2301 Robeson St, Ste 201, Fayetteville, NC 28305 Phone: 910-485-1191 Fax: 910-485-6006 | |
Ms. Lydia B Apollo, CNM Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2053 Valleygate Dr Ste 201, Fayetteville, NC 28304 Phone: 910-484-9020 Fax: 910-484-9012 |